Individual
DESTINEE A WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4334 RIDGEWAY CIR, APT E, KALAMAZOO, MI 49006-6240
(847) 987-4467
Mailing address
4334 RIDGEWAY CIR, APT E, KALAMAZOO, MI 49006-6240
(847) 987-4467
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
07/19/2016
Last updated
07/19/2016
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